Provider Demographics
NPI:1285197293
Name:WINGER, EMILY MICHELE (RN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELE
Last Name:WINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6104 GREEN MEADOW PKWY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3313
Mailing Address - Country:US
Mailing Address - Phone:443-784-6832
Mailing Address - Fax:
Practice Address - Street 1:6104 GREEN MEADOW PKWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3313
Practice Address - Country:US
Practice Address - Phone:443-784-6832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR183824163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse